National Provider Identifier [NPI]: |
1316989007 |
Last Name Of The Provider |
SAEGER |
First Name Of The Provider |
LOUIS |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1950 CURVE CREST BLVD W |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
STILLWATER |
Zip Code Of The Provider |
550825078 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
1796 |
Number Of Medicare Beneficiaries |
229 |
Total Submitted Charge Amount |
561049 |
Total Medicare Allowed Amount |
137865.03 |
Total Medicare Payment Amount |
102955.33 |
Total Medicare Standardized Payment Amount |
91183.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
925 |
Number Of Medicare Beneficiaries With Drug Services |
171 |
Total Drug Submitted ChargeAmount |
12752 |
Total Drug Medicare AllowedAmount |
2292.12 |
Total Drug Medicare PaymentAmount |
1737.93 |
Total Drug Medicare Standardized Payment Amount |
1737.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
871 |
Number Of Medicare Beneficiaries With Medical Services |
228 |
Total Medical Submitted Charge Amount |
548297 |
Total Medical Medicare Allowed Amount |
135572.91 |
Total Medical Medicare Payment Amount |
101217.4 |
Total Medical Medicare Standardized Payment Amount |
89445.21 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
95 |
Number Of Beneficiaries Age 65 to 74 |
61 |
Number Of Beneficiaries Age 75 to 84 |
51 |
Number Of Beneficiaries Age Greater 84 |
22 |
Number Of Female Beneficiaries |
152 |
Number Of Male Beneficiaries |
77 |
Number Of Non Hispanic White Beneficiaries |
211 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
156 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
73 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
52 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1036 |